Evidence map›Paper›PMID 32298699›Full record

Trial reportThe Journal of allergy and clinical immunology2020

Distinct associations of sputum and oral microbiota with atopic, immunologic, and clinical features in mild asthma.

Juliana Durack, Laura S Christian, Snehal Nariya, Jeanmarie Gonzalez, Nirav R Bhakta, K Mark Ansel, Avraham Beigelman, Mario Castro, Anne-Marie Dyer, Elliot Israel and 13 more

Registry-linked trialOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01537133 (Airway Microbiome in Asthma), which is not on this map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01537133 nacompletednot on this map

Airway Microbiome in Asthma: Relationships to Asthma Phenotype and Inhaled Corticosteroid Treatment

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2012 to 2014Enrolled84ConditionsAsthma, AtopyArmsfluticasone, Placebo
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 95 citations in OpenAlex.

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  10. Observational
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  15. Oral microbiota related to allergy in Norwegian adults.The journal of allergy and clinical immunology. Global · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 13 institutions in 3 countries.

Juliana DurackDepartment of Medicine, Division of Gastroenterology, University of California, San Francisco, Calif.
Laura S ChristianDepartment of Microbiology & Immunology and Sandler Asthma Basic Research Center, San Francisco, Calif.
Snehal NariyaDepartment of Medicine, Division of Pulmonary/Critical Care Medicine, University of California, San Francisco, Calif.
Jeanmarie GonzalezDepartment of Microbiology & Immunology and Sandler Asthma Basic Research Center, San Francisco, Calif.
Nirav R BhaktaDepartment of Medicine, Division of Pulmonary/Critical Care Medicine, University of California, San Francisco, Calif.
K Mark AnselDepartment of Microbiology & Immunology and Sandler Asthma Basic Research Center, San Francisco, Calif.
Avraham BeigelmanDivision of Pediatric Allergy, Immunology, and Pulmonary Medicine, Washington University School of Medicine, St Louis, Mo; Kipper Institute of Allergy and Immunology, Schneider Children's Medical Center of Israel, Tel Aviv University, Tel Aviv, Israel.
Mario CastroDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St Louis, Mo.
Anne-Marie DyerDepartment of Public Health Sciences, Penn State University, Hershey, Pa.
Elliot IsraelDepartment of Medicine, Brigham & Women's Hospital, Boston, Mass.
Monica KraftUniversity of Arizona, Health Sciences, Tucson, Ariz.
Richard J MartinDepartment of Medicine, National Jewish Hospital, Denver, Colo.
David T MaugerDepartment of Public Health Sciences, Penn State University, Hershey, Pa.
Stephen P PetersWake Forest School of Medicine, Winston-Salem, NC.
Sharon R RosenbergDepartment of Medicine, Northwestern University, Chicago, Ill.
Christine A SorknessDepartment of Medicine, University of Wisconsin-Madison, Madison, Wis.
Michael E WechslerDepartment of Medicine, National Jewish Hospital, Denver, Colo.
Sally E WenzelUniversity of Pittsburgh Asthma Institute at UPMC/UPSOM, Pittsburgh, Pa.
Steven R WhiteDepartment of Medicine, University of Chicago, Chicago, Ill.
Susan V LynchDepartment of Medicine, Division of Gastroenterology, University of California, San Francisco, Calif.
Homer A BousheyDepartment of Medicine, Division of Pulmonary/Critical Care Medicine, University of California, San Francisco, Calif.
Yvonne J HuangDepartment of Internal Medicine, Division of Pulmonary/Critical Care Medicine, University of Michigan, Ann Arbor, Mich. Electronic address: yvjhuang@umich.edu.
National Heart, Lung, and Blood Institute’s ”AsthmaNet“
University of California, San Francisco · USJewish Hospital · USPennsylvania State University · USBrigham and Women's Hospital · USNorthwestern University · PHSchneider Children's Medical Center · ILUniversity of Arizona · USUniversity of Chicago · USUniversity of Michigan–Ann Arbor · USUniversity of Wisconsin–Madison · USUPMC Health System · USWake Forest University · USWashington University in St. Louis · US

Funding

RADx-UP: Improving the Response of Local Urban and Rural Communities to Disparities in Covid-19 TestingUL1TR002366 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mario Castro, JAMES STEVEN LEEDER · 2017 to 2026
$44.3M
MOLECULAR AND CELLULAR IMMUNOLOGYT32AI007334 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CYSTER, JASON G · 1988 to 2023
$11.0M
UCSF AsthmaNet Clinical CenterU10HL098107 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CABANA, MICHAEL D, LAZARUS, STEPHEN C · 2009 to 2015
$4.8M
Sputum Microbial Markers of Type 2-Low AsthmaR01AI129958 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUANG, YVONNE JEAN · 2017 to 2021
$3.6M
Corticosteroid effects on bacterial behaviors in the respiratory tractR03HL138310 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HUANG, YVONNE JEAN · 2017 to 2018
$155k
NCATS NIH HHS UL1 TR002366NHLBI NIH HHS R03 HL138310NHLBI NIH HHS U10 HL098107NIAID NIH HHS R01 AI129958NIAID NIH HHS T32 AI007334
6 · The paper itself

Abstract

backgroundWhether microbiome characteristics of induced sputum or oral samples demonstrate unique relationships to features of atopy or mild asthma in adults is unknown.

objectiveWe sought to determine sputum and oral microbiota relationships to clinical or immunologic features in mild atopic asthma and the impact on the microbiota of inhaled corticosteroid (ICS) treatment administered to ICS-naive subjects with asthma.

methodsBacterial microbiota profiles were analyzed in induced sputum and oral wash samples from 32 subjects with mild atopic asthma before and after inhaled fluticasone treatment, 18 atopic subjects without asthma, and 16 nonatopic healthy subjects in a multicenter study (NCT01537133). Associations with clinical and immunologic features were examined, including markers of atopy, type 2 inflammation, immune cell populations, and cytokines.

resultsSputum bacterial burden inversely associated with bronchial expression of type 2 (T2)-related genes. Differences in specific sputum microbiota also associated with T2-low asthma phenotype, a subgroup of whom displayed elevations in lung inflammatory mediators and reduced sputum bacterial diversity. Differences in specific oral microbiota were more reflective of atopic status. After ICS treatment of patients with asthma, the compositional structure of sputum microbiota showed greater deviation from baseline in ICS nonresponders than in ICS responders.

conclusionsNovel associations of sputum and oral microbiota to immunologic features were observed in this cohort of subjects with or without ICS-naive mild asthma. These findings confirm and extend our previous report of reduced bronchial bacterial burden and compositional complexity in subjects with T2-high asthma, with additional identification of a T2-low subgroup with a distinct microbiota-immunologic relationship.

Indexed as

Administration, InhalationAdrenal Cortex HormonesAdultAsthmaBiomarkersCytokinesFemaleHumansHypersensitivity, ImmediateMaleMicrobiotaMouthSputumTh2 CellsTreatment OutcomeAdrenal Cortex HormonesBiomarkersCytokinesallergicasthmacorticosteroidscytokinesMicrobiomeoralsputumtype 2 inflammation

Identifiers

PMID32298699
PMCPMC7554083
OpenAlexW3016384925

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.